Our staff add value to public sector effectiveness and the independent assurance of public sector administration and accountability, applying our professional and technical leadership to have a real impact on real issues.
The Health Portfolio covers a range of policy and program areas aimed at achieving better health outcomes for Australians, supporting a high-quality health system and better outcomes in sport, including integrity, performance and participation.
The Health portfolio covers a range of policy and program areas aimed at achieving better health and ageing outcomes for Australians, supporting equitable, efficient and high-quality health and aged care systems, and improving opportunities for better outcomes in sport.
This audit would examine the Department of Health’s implementation of the Aged Care Funding Instrument (ACFI), including 2016–17 Budget measures that were designed to bring the level of growth in ACFI subsidies to more sustainable levels.
The ACFI, which was introduced in 2008, is used by the Department of Health to determine the subsidies to be paid to residential aged care providers. Each year, approximately 150 000 ACFI assessments are undertaken by organisations approved to provide home care, residential care and/or flexible care under the Aged Care Act 1997. The department is responsible for providing advice and for preparing instructions for approved providers to guide the preparation of the assessments. It is also responsible for monitoring the accuracy of completed assessments and subsidy claims.
The ageing of Australia’s population is expected to create a range of pressures on Australia’s economy, including on healthcare infrastructure, the labour market, the tax and transfer system and public finances. In response to higher-than-anticipated growth in ACFI funding claims over recent years, the Government increased the estimate of residential aged care expenditure over the forward estimates by more than $3.8 billion in the 2016–17 Budget and announced a range of measures designed to bring the level of growth back to more sustainable levels.
This audit would examine the Department of Health’s implementation of the My Aged Care Portal, including the extent to which it has facilitated greater access for older Australians and their families to information and support services.
The My Aged Care Portal, which was introduced in July 2013, comprises a website and a call centre and serves as the primary contact point for people seeking information on subsidised aged care. On 1 July 2015, the My Aged Care Portal was expanded to become the single entry point to the aged care system in Australia.
The Department of Health reported in its annual report that 2015–16 had been a transitional year for the sector, and identified the initial challenges of stabilising the technology platform, and the need for the contact centre, assessors and providers to adapt to new processes.
This audit would examine the arrangements in place to assess the impact of Australian Government funding that is provided under the National Health Reform Agreement (NHRA). In particular, the audit would examine whether an appropriate performance monitoring framework is in place to assess the extent to which Australian Government funding and the reforms implemented under the NHRA have improved health service delivery outcomes.
Under the NHRA, which was signed in August 2011, the Council of Australian Governments (COAG) agreed to major reforms to the funding of health care. The reforms were intended to provide better access to services, drive improved efficiency in hospitals through the adoption of activity-based funding, and increase public information to enable comparison of health service performance. Activity-based funding was expected to provide incentives for hospitals to treat patients more efficiently and for hospitals and governments to ensure patients are treated in the most appropriate setting. The Australian Institute of Health and Welfare and the Australian Commission on Safety and Quality in Health Care are responsible for monitoring and reporting on the performance of local hospital networks and hospitals.
Under the auspices of the NHRA, the Australian Government agreed to provide additional funding for public hospitals of at least $16.4 billion between 2014–15 and 2019–20. Subsequently, the Commonwealth also agreed to provide an estimated additional $2.8 billion between 1 July 2017 and 30 June 2020 as part of a COAG agreement to retain key features of activity-based funding and to fund 45 per cent of the growth in hospital services based on the National Efficient Price for three years from 2017–18 (capped at 6.5 per cent per year over this period).
This audit would examine the Department of Human Services’ management and delivery of programs, services and payments on behalf of other Australian Government entities, as well as the department’s performance against its respective obligations and service standards.
Human Services provides a range of programs, services and payments for, and on behalf of, a number of Australian Government entities, such as income support payments for the Department of Social Services, and aged care payments and the maintenance of various health-related registers for the Department of Health. Arrangements for these services and payments are outlined in various memorandums of understanding and business partnership agreements. In the 2017–18 Budget, Human Services estimated that it would process around $175 billion in payments on behalf of other government entities.
The proposed audit would provide assurance that business agreements support Human Services in meeting the expectations of entities on behalf of whom it delivers payments; and that roles, responsibilities and performance reporting arrangements are clearly defined.
The audit objective is to assess the effectiveness of the Department of Health's design, implementation and administration of primary healthcare under the Indigenous Australians' Health Program (IAHP).
The objective of the audit is to examine the implementation of the annual performance statements requirements under the Public Governance, Performance and Accountability Act 2013 (PGPA Act) and Public Governance, Performance and Accountability Rule 2014 (PGPA Rule) by selected entities in 2016–17.